<include file="header" />
<div class="wraper has-nav" js="wapjs/nskj/js/apply">
    <div class="form-list form nomargin clearfix">
        <div class="form-icon pull-left"><span class="iconfont icon-start text-blue"></span></div>
        <div class="form-input pull-left"><input id="start" value="{BEESCRM:$start_time}" readonly="readonly"/></div>
    </div>
    <div class="form-list form clearfix">
        <div class="form-icon pull-left"><span class="iconfont icon-end text-blue"></span></div>
        <div class="form-input pull-left"><input id="end" value="{BEESCRM:$end_time}"/></div>
    </div>
    <div class="lists list-block">提现金额(元)<span class="pull-right text-orange money">{BEESCRM:$money}</span></div>
    <div class="btn-box">
        <a href="#" class="btn bg-blue text-center apply">提交申请</a>
    </div>
    <input type="hidden" value="{BEESCRM:$start_time}" id="start_time"/>
</div>
<include file="footer" />